Eficácia de um programa para redução de ruído em unidade de terapia intensiva neonatal

Abstract

Methods: NICU-HUSM professionals were initially contacted through informal interviews during the morning, afternoon and night shifts. Leaflets were delivered and posters were installed to raise awareness of the harmful effects of noise on neonates and professionals and to suggest behavioral changes to reduce noise levels. The suggestions included avoiding loud talking, careful handling of the incubator doors and keeping mobile phones on silent mode. One month later, questionnaires were used to assess behavioral changes since the first contact. Results: Most of the professionals rated the NICU-HUSM noise level as moderate. Overall, 71.4% of the respondents acknowledged that their behaviors were noisy. The entire sample reported believing that the unit noise levels could be reduced by speaking lower, reacting more quickly to alarms and handling furniture more carefully. The NICU professionals reported adopting these behaviors. Conclusion: This noise control program was considered successful because the professionals became aware of the level of noise and adopted behavioral changes to avoid generating unnecessary noise.

The effect of training on noise reduction in neonatal intensive care units

“…Various studies have reported that either equipment-or humaninduced sounds ranked first as noise sources in the NICU (Nathan et al, 2008;Valizadeh, Hosseini, Alavi, Asadollahi, & Kashefimehr, 2013;Weich et al, 2011). In addition, the level of noise caused by equipment was higher in measured momentary noise levels.…”

“…These precautions involve performing "quiet time" or "quiet hour" practices during every 8-h shift (Bremmer, Byers, & Kiehl, 2003;Nathan et al, 2008); reducing alarm sounds or setting them to vibration mode/using illuminated visual alarm systems; responding immediately when an alarm sounds and switching to silent mode if not used for the infant; placing washbasins far from infant cradles; and using plastic drawers instead of metal drawers (Krueger, Schue, & Parker, 2007;Nathan et al, 2008). In addition, it must be compulsory to speak in a low voice and limit bedside talking; incubator lids should not be slammed; furniture should not be dragged; not to place stuff on incubator; avoid shoes that make noise; use cell phones in silent mode; and regular noise level measurements should be made within the unit (Krueger et al, 2007;Weich, Ourique, Tochetto, & Franceschi, 2011). Apart from these, the role of training has been reported in reducing noise.…”

“…It has been reported that training aimed at reducing noise provided for NICU medical professionals was effective in reducing noise/reducing behaviors that may cause noise. It is important to routinely evaluate noise control programs and receive feedback from medical personnel for the success of every new program and creation of noise-reducing policies (Bremmer et al, 2003;Fonseca, Góes, Medeiros, & Castro, 2013;Ramesh et al, 2009;Ranganna & Bustani, 2011;Weich et al, 2011).…”

Triagem auditiva neonatal: necessidade de divulgação para profissionais de enfermagem

“…Esse dado demonstra a necessidade de reconfiguração do processo de formação desses profissionais, com introdução de tal conteúdo na matriz curricular. Essa alteração repercutirá na prática e na assistência prestada à população, visando melhores condições de trabalho dos profissionais, além de proporcionar segurança ao paciente 13,14 .…”

Noise level analysis in adult intensive care unit

“…In professionals, the adverse effects of continuous exposure to noise also involves headache, hearing loss, confusion, low power of attention, irritability, burnout, job dissatisfaction and the professionals may be impaired in the performance of their functions (7)(8)(9)(10) .…”